| NPI | 1699810093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE SPECTOR-MAMMOSER Medicare Supervisor 847-329-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0045492) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-07-22 |